Individual
DR. ELIZABETH V WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
25 MIDDLE STREET, PORTLAND, ME 04101
(207) 712-1853
(207) 773-5512
Mailing address
25 MIDDLE STREET, PORTLAND, ME 04101
(207) 712-1853
(207) 773-5512
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS1130
ME
103TC0700X
Clinical Psychologist
Primary
PS1130
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017608
VALUE OPTIONS
ME
01
—
048089
ANTHEM
ME
05
—
431546200
—
ME
Enumeration date
01/17/2007
Last updated
11/06/2015
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